Child’s Information:
Name (First) (Middle) (Last) (Suffix) ____
Race DOB Sex ____ Ht. ______ Wt. ______ Hair _________ Eyes _________
Remarks (scars, tattoos, piercings, etc.)
Aliases and/or Nicknames
Social Security # Driver’s License #
Child/Juvenile Birth Information: City County State
Last Seen Wearing
Name of Current School Employer’s Name/Address
CURRENT Home Address CURRENT Home Phone _
Guardian’s Name, Address & All Phone Numbers
Mother’s Name, Address & All Phone Numbers
Father’s Name, Address & All Phone Numbers
List of Hangouts (malls, specific areas of town, etc.) / Hobbies (e.g. surfing, skateboarding, etc.)
1.
2.
3.
List of Friends, Relatives, or Associates (Name/Address/Phone Number)
1.
2.
3.
Other Possible Leads
Name & Phone # of Probation Officer (if applicable) Notified? Yes / No
Arrest History Any Warrants
Name & Phone # of D.C.F. Caseworker (if applicable) Notified? Yes / No